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Lab work was ordered for a patient who presented to an ED after having experienced her first seizure, but it wasnt reviewed until after the patient was discharged.
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If a patient deteriorates because of a transport and later sues, concerns will inevitably arise that the emergency physician (EP) didnt stabilize the patient prior to transport, or that the patient should not have been transferred, says John Tafuri, MD, FAAEM, regional director of TeamHealth Cleveland (OH) Clinic and chief of staff at Fairview Hospital, also in Cleveland.
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Informed refusal is the antithesis of informed consent, a natural extension of the doctrine. Informed consent is discussed in great detail in the medical, legal, and risk-management literature; whereas informed refusal has received less attention.
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Was a patient transferred without being intubated first because the emergency physician (EP) wasnt comfortable managing a difficult airway?
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Is a parent refusing recommended care for a minor patient in the ED?
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Most emergency physicians (EPs) would never consider leaving a patients chart completely blank, as theyre well aware of the resulting liability risks, but caring for an ED colleague without documentation is no different, according to Martin Ogle, MD, FACEP, senior partner and vice president of CEP America, an Emeryville, CA-based provider of acute care staffing solutions.
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There is much myth, controversy, and misunderstanding surrounding the safe and medical legally sound disposition of patients who are under the influence of drugs or alcohol.
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Chart could shift responsibility for bad outcomes
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Did an emergency department (ED) experience a sudden surge in volume at the same time a particular patient presented, who later filed a malpractice suit?
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According to the nursing notes, a 15-year-old boy presented to the ED with headache, neck pain, nausea, and vomiting.
